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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 1/13/2009 11:08 AM (GMT -6)   
I have posted before about this and have gotten several replies.  I am almost a year post-op and still dealing with excessive urine at orgasm.  The rings help somewhat but i am wondering if this is a permanent condition from the surgery.  I am hoping it will improve with natural erections.  I have read extensively about this condition.  I know that the mechanism that cut off the bladder during ejacualtion is gone.  This makes me tend to think that this function will not come back.  Anyone out there in a similar situation that has improved or completely gone away with time?  This sure puts a damper(lol) on your sex life.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/13/2009 12:29 PM (GMT -6)   
Yes, I do and I understand where you are coming from. At 16 months post surgery, I still have a little problem with it. I have learned to control my muscles that I have left to retain urine, and really bear down on holding back when having an orgasm. It can be a little distracting from the pleasure of experiencing one. Most times I succeed, the more intense the orgasm, the more likely I will leak a little. But a little isn't much, maybe a tablespoon or less. I have much less problem holding it when I am using an injection produced erection, however. The Trimix really helps to control the urine release. All I can tell you is to practice concentrating on holding back the release during orgasm, if you can, or consider using injections if you aren't still on the Bimix to help you out with it.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/13/2009 12:41 PM (GMT -6)   
it is too early after my surgery to access my sexual functions but spurting urine on orgasm would sure put a stop to any oral fun!  mad
6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
 
 


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 1/13/2009 1:51 PM (GMT -6)   

I am 9 months post op and have this same problem.  Great question for the old guys to see if this does get better with time.  I really hope so.  I too have less leaking with Viagra but still some just the same.  I missed participtaing in another other aspect of our sexual relationship ( you know) so we tried flavored condoms and that seems to be an acceptable alternative until I can get the faucet fixed.

Also I use a restrictor ring as well and that does help.  So with Viagra and the ring and a towel and all the other prep stuff we are able to have a good relationship and for that I am very thankful.  I have been married for 37 years so we are old pro's,  I sympathise with the brothers who have a new or multiple partners.

Frank

 

 

 

 


Age 54
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6 
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008, University of Chicago.
Catheter out in 7 days normaly expected leakage
Post Pathology T2C, Gleason 7, (3+4) 10 % of both portions of prostate
Seminal vessels clear, fat tissue clear, single positve margin at apex measuring less than 1/2mm. 
PSA Six week < 0.1 4 month PSA <.05 6 month PSA<0.01,9 month<0.01
Watching PSA @ 3 months for 2 years,  will do salvage radiation if necessary.
Fair to Good results with Viagra,  side effects are bothersome at times. 
 


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 1/13/2009 4:50 PM (GMT -6)   
Thanks for the reply Frank. I don't feel so alone now. I wish the docs would warn us about that. Mine didn't. I have been married for a long time and we are managing in spite of it all. Firstly I am glad to be cancer free so far. The rest is a bonus. The viagra is just starting to kick for me after almost a year so we will see what happens..
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


Gene214
Regular Member


Date Joined Mar 2007
Total Posts : 422
   Posted 1/13/2009 5:27 PM (GMT -6)   

Bootheel,

This is evidently a common occurance that the docs should tell us about but usually don't.  I too have the problem but since I have a penile implant which does produce a good erection, that restricts the flow somewhat too.  I also have a AUS which also restricts the urine... but not 100% all the time.  As mentioned, so does a ring.  But you need to remember that urine is sterile.  We don't do oral anyway, so that's not been a problem.  When I first experienced this I thought my wife would never consider having relations witout a condom, but now it really is no problem. A little clean up aferward is all it takes.

Gene214 


PC diagnosed 12-06 @ age 63
Radical open removal 2-14-07, Gleason 3+3=6
Removal of stricture 6-07, incontinence continues
Scheduled for AUS & IPP 05-08
Surgeon cancelled one day pre-surgery, due to cardiac concerns
Nuclear stress 5/13/08
3 stents 5/27
AUS, IPP implanted 07-16-08
AUS, IPP was activated on 08-18-08.  They both work!
10-20-08 went back to surgeon for a follow-up.  Both devices are working very good and surgeon was very pleased that I am very pleased.
 


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 1/13/2009 8:38 PM (GMT -6)   
We women love you guys. Don't worry so much about a little pee....Don't forget ,,,we have given birth, and also nursed children. We are used to fluids! Of all kinds! Talk to your wife or partner about your worry, you will find someone that understands and will be there for you. What a woman needs is to have you talk to her about your concerns and to involve her in your recovery......That is the very best way to regain your former life. I know this is true....Di
Husband Pete
dx Jan 2001 gleason 4 + 3 PSA 16.5
Seed implant and conformal radiation and Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06 Dr. Eastham
Fistula operation 2/07 MSK Dr. Wong
Many cystoscopies and ER visits with strictures
Catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/08
AUS Operation at MSK Sept 8 2008 Dr. Sandhu
Activated Oct 28th Dr. Sandhu..MSK
Some difficulty with AUS arising Nov 10 2008
Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008
PSA .6 12/08
AUS improving..only 2 pads a day and one at night
Complete hip replacement surgery Dr. Waters Gainesville, FL 1/9/09
Forging ahead to health!

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